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DIAGNOSTIC PHASE IN PROSTHODONTICS. www.egydental.com. DATA COLLECTION. LIMITED TREATMENT PATIENT HISTORY Chief complaint Medical history Dental Examination Periodontal Examination Gingiva Periodontium Occlusal Examination Radiographic Examination. FIXED APPOINTMENTS. FIRST APP.
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DIAGNOSTIC PHASE IN PROSTHODONTICS www.egydental.com
DATA COLLECTION • LIMITED TREATMENT PATIENT • HISTORY • Chief complaint • Medical history • Dental Examination • Periodontal Examination • Gingiva • Periodontium • Occlusal Examination • Radiographic Examination
FIXED APPOINTMENTS • FIRST APP. • Revision of Tx Plan • Get xrays of area to treat • PA • Periapical condition • Root morphology • Endodontic status - possible Endo consult • Bite-wing • Bone level • level of previous restorations • Future location of finish line
FIXED APPOINTMENTS • FIRST APP. • Periodontal Approval • Clinical examination • Radiographic evaluation • Get signature in the form • If surgery required follow instructions • Book app. With Margaret @ MFC
FIXED APPOINTMENTS FIRST APP. DIAGNOSTIC CASTS Check quality of impressions & models Record a precise facebow Align facial & dental midline with center of bitefork Trim PVS height if needed Protrusive record in hard baseplate wax Mounting phase MI Stable CR ??? Obtain Informed Consent signed from patient
WORKING-UP THE CASE • On mounted Dx cast • Identify type of occlusion • Identify related problems • Working & non working contacts • Wear facets • Areas with traumatic occlusion • Alterations on the plane of occlusion • Malpositions, etc.
WORKING-UP THE CASE • On mounted Dx cast • Diagnostic Wax-up • Bring back area to ideal • For provisional fabrication